Complaint Investigation Report
Date signed09/21/2022 10:40:15 AM
Deficiency was observed, Citation was issued per Title 22 Division 6 of the California Code of Regulations.
LPA Marin conducted an exit interview with AD Lara; LPA discussed the deficiency, citation, appeal rights and civil penalty assessed.
LPA Marin conducted a phone exit interview with AD Lara; LPA discussed the deficiency, citation, appeal rights and civil penalty assessed. AD granted permission for staff to sign and receive the report. Copy of this report, deficiency page, appeal rights, and civil penalty assessment form were left in the facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction